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Claims Review Nurse jobs

Viewing 1 - 10 of 1,824 jobs

  • RN Manager Associate Health & Wellness

    Wheaton Franciscan Healthcare - Milwaukee, WI

    of worker's compensation claims. • Insures completed state-required documentation, incident history, and any related records are submitted to the worker's compensation administrator. • Reviews associate's health record. Identifies data...

    17 hours ago from Wheaton Franciscan Healthcare

  • Claims Manager - Risk Management

    North Shore-lij Health System - Great Neck, NY

    & Officers’ Liability. Manages a caseload of assigned claims. Prioritizes and monitors claims filed, evaluates ... in all aspects of claims management. 3) Monitors claims impacting on the Health System’s Insurance Captive...

    1 day ago from Nurse.com

  • Medical Director - Claims

    Nexus Healthcare - Seattle, WA

    manages the denial process. Reviews cases with concurrent review nurses. Provides medical expertise for care ... Peer Review, medical policy/procedure development, provider contracting experience highly preferred 2147483647...

    6 days ago from The Ladders

  • Nurse Practitioner (Compensation & Pension)

    U.S. Department of Veterans Affairs - Kingman, AZ

    Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelo ... Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year?s of nursing practice/experi...

    6 days ago from U.S. Department of Veterans Affairs

  • UTILIZATION REVIEW NURSE (RETROSPECTIVE REVIEWS)

    Health Plan of San Mateo - San Mateo, CA

    a full time Utilization Review Nurse to perform utilization/claims reviews with a focus on retrospective reviews. This ... requests/claims documentation within specified timeframes. Review authorization requests/claims for out-of-network...

    1 day ago from Nurse.com

  • Registered Nurse (Non-VA Care Medical Care Coordination (NVCC) Inpatient Transfer Coordinator)

    U.S. Department of Veterans Affairs - Temple, TX

    received from NonVA facilities. Utilizes the Fee Basis Claims System to input clinical tracking notes, ... for inpatient care and to examine assigned inpatient claims. Utilizes complex automated data processing systems...

    5 days ago from U.S. Department of Veterans Affairs

  • Nurse Practitioner and Physician Assistant, VA Disability Exams

    Logistics Health - Alexandria, LA

    and innovation at every touch point. Job Description: Nurse Practitioner and Physician Assistant, VA Disability ... LHI is currently looking for qualified and experienced Nurse Practitioners to join our network to conduct the exams...

    4 days ago from ZipRecruiter

  • RN Medical Claims Review Nurse

    Healthcare Support Staffing - Long Beach, CA

    Description: We are aggressively seeking a “RN Medical Claims Review Nurse" to assist a large Healthcare ... Claims Review Nurse Company Job Title: Medical Claims Nurse Compensation Notes: $70,000-87,000 USD Shift: M-F...

    5 days ago from ZipRecruiter

  • Nurse - Memory Care Community

    Validus Senior Living - Tampa, FL

    family. We are seeking a dedicated, mission oriented nurse who will help us fulfill our commitment to our ... reduce the occurrence of Worker’s Compensation claims. 14. Participates in community events, including family and...

    11 hours ago from ZipRecruiter

  • Lead Claims Review Analyst

    Alps Services - Columbus, OH

    Minimum of 2 years utilization/quality assurance review and ICD-9-CM/CPT coding experience ... and experience in the analysis and processing of Medicare claims, utilization review/quality assurance procedures,...

    1 day ago from ZipRecruiter